Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Indiana
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$4,094.40
lowest in Indiana
$4,304.40
state median
$5,177.40
highest in Indiana
$4,304.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers | $4,094.40 | $37.56 – $144.66 | 19 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $4,304.40 | $37.56 – $242.77 | 21 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $4,304.40 | $37.56 – $242.77 | 21 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $5,177.40 | $37.56 – $144.66 | 20 |